🌀 Benign Positional Vertigo (BPV) & Dizziness | Internist PCP Geriatrics Doctor Near Me Georgetown TX

Dr. Mohammad Al Darawsha MD
Nov 21, 2025
3 min read

Feeling dizzy or as if the room is spinning — especially when turning your head — could be a sign of Benign Positional Vertigo (BPV). It’s a common, treatable cause of dizziness in adults and older adults.

At Wellness Bay Primary Care, our Internist PCP Geriatrics Doctor near Georgetown TX helps patients regain balance and confidence with accurate diagnosis, gentle treatments, and prevention strategies. 💙

🔎 What Causes Benign Positional Vertigo?

BPV occurs when tiny calcium crystals (otoconia) in the inner ear become dislodged and move into areas that control balance.Common triggers include:

Sudden head movements
Getting in or out of bed quickly
Looking up or bending down
Head injury or ear infection
Age-related degeneration of the inner ear

🌡️ Common Symptoms

A spinning or tilting sensation (vertigo)
Dizziness lasting seconds to minutes
Nausea or lightheadedness
Imbalance or unsteady walking
Worsening symptoms when changing position

⚠️ Risk Factors

You may be at greater risk if you:

Are over age 50
Have had an ear infection or head injury
Have osteoporosis
Spent long periods in bed or inactivity
Have migraine or inner ear disorders

🧠 Pathophysiology (What’s Happening Inside) by Internist PCP Geriatrics Doctor Near Me Georgetown TX

Inside your inner ear are canals filled with fluid that help you maintain balance. When calcium particles (otoconia) shift into these canals, they send false signals to the brain — causing dizziness and spinning sensations when you move your head.

🌿 Lifestyle Tips to Reduce Dizziness

Move your head slowly and avoid sudden position changes
Stay hydrated
Sleep with your head slightly elevated
Avoid lying on the affected side if symptoms persist
Practice Epley or Brandt-Daroff exercises (under guidance)
Avoid driving or climbing until symptoms fully resolve

💊 Treatment Options

At Wellness Bay Primary Care, treatment is gentle and effective:

Canalith repositioning maneuvers (Epley maneuver) — quick, in-office treatment to reset inner-ear crystals
Vestibular therapy for chronic balance issues
Medication (short-term) for nausea or motion sensitivity
Fall prevention and home safety guidance for seniors

💬 Top 10 FAQs about Benign Positional Vertigo

1. Is BPV dangerous?

No — it’s uncomfortable but not life-threatening.

2. How long does it last?

Symptoms often improve within days to weeks with treatment.

3. Can it come back?

Yes, but exercises can reduce recurrence.

4. Is dizziness always from the ear?

Not always — it can also come from blood pressure, medications, or dehydration.

5. Does BPV cause hearing loss?

No — hearing is usually normal.

6. How is it diagnosed?

With simple head movement tests (Dix-Hallpike maneuver).

7. Can stress make it worse?

Yes, anxiety or fatigue can intensify dizziness sensations.

8. Do medications cure it?

They relieve symptoms but don’t fix the underlying crystal displacement.

9. Can it affect both ears?

Yes, but usually one ear is more affected.

10. When should I see a doctor?

If dizziness is frequent, severe, or associated with hearing loss or fainting.

👩‍⚕️ When to See a Doctor

If dizziness affects your daily life, balance, or sleep — don’t ignore it.Our primary care team provides complete evaluation and gentle treatment to restore comfort and stability. 🌿

💬 Let’s Keep You Healthy, Together

The Medicare Wellness Visit is your chance to pause, plan, and protect your future health. At Wellness Bay Primary Care, we make this visit meaningful, respectful, and centered on you.

📍 Visit us at 4887 Williams Dr Ste 107, Georgetown TX

📞 Call 512.588.7008 or📲 Book online

Proudly, our Internal Medicine Primary Care Practice is Accepting new patients From:

Georgetown, Sun City, Round Rock, Cedar Park, Leander, Liberty Hill, Florence, Jarrell, Taylor, Hutto, Pflugerville, North Austin, Brushy Creek, Temple, Harker Heights, Bartram, Lampasas, Killeen, Lago Vista, and surrounding areas across Williamson County and North Austin TX